Learning to be a doctor

Medical students’ perception of their roles in longitudinal outpatient clerkships

Blair P. Golden, Bruce Lowell Henschen, Lauren A. Gard, Elizabeth Ryan, Daniel B Evans, Jennifer A Bierman, Kenzie A Cameron*

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To understand how medical students perceive their roles in early longitudinal primary care clerkships. Methods: Medical students enrolled in one of two longitudinal primary care clerkships – Education-Centered Medical Home (ECMH) or Individual Preceptorship (IP) – participated in semi-structured interviews. Interviews were recorded, transcribed, and analyzed using a grounded theory and constant comparative approach. Results: Students (N = 35) in both clerkships perceived benefits of early clinical exposure, reflecting positively on having time to interact with patients. Identified roles ranged from shadower to collaborator to diagnostician; a progression from position-centered to more patient-centered roles emerged. ECMH students also identified as health educators, care managers, and mentors. IP students described the clerkship primarily as an opportunity to acquire clinical knowledge and practice skills, expressing perceptions of being a transient “visitor” in the clinic, whereas ECMH students reported taking an active role in continuity care of patients. Conclusion: Students identified benefits of early longitudinal outpatient primary care clerkships, supporting the inclusion of these experiences within medical school curricula. Clerkships with an emphasis on longitudinal and team-based care may further promote student participation in patient care and professional development. Practice Implications: Longitudinal, team-based early clinical experiences may best promote student involvement in patient care.

Original languageEnglish (US)
Pages (from-to)2018-2024
Number of pages7
JournalPatient education and counseling
Volume101
Issue number11
DOIs
StatePublished - Nov 1 2018

Fingerprint

Medical Students
Outpatients
Patient-Centered Care
Learning
Students
Preceptorship
Primary Health Care
Education
Patient Care
Interviews
Health Educators
Mentors
Continuity of Patient Care
Ambulatory Care
Medical Schools
Curriculum
Delivery of Health Care

Keywords

  • Clinical skills
  • Early clinical experiences
  • Primary care
  • Undergraduate medical education

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Learning to be a doctor: Medical students’ perception of their roles in longitudinal outpatient clerkships",
abstract = "Objective: To understand how medical students perceive their roles in early longitudinal primary care clerkships. Methods: Medical students enrolled in one of two longitudinal primary care clerkships – Education-Centered Medical Home (ECMH) or Individual Preceptorship (IP) – participated in semi-structured interviews. Interviews were recorded, transcribed, and analyzed using a grounded theory and constant comparative approach. Results: Students (N = 35) in both clerkships perceived benefits of early clinical exposure, reflecting positively on having time to interact with patients. Identified roles ranged from shadower to collaborator to diagnostician; a progression from position-centered to more patient-centered roles emerged. ECMH students also identified as health educators, care managers, and mentors. IP students described the clerkship primarily as an opportunity to acquire clinical knowledge and practice skills, expressing perceptions of being a transient “visitor” in the clinic, whereas ECMH students reported taking an active role in continuity care of patients. Conclusion: Students identified benefits of early longitudinal outpatient primary care clerkships, supporting the inclusion of these experiences within medical school curricula. Clerkships with an emphasis on longitudinal and team-based care may further promote student participation in patient care and professional development. Practice Implications: Longitudinal, team-based early clinical experiences may best promote student involvement in patient care.",
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author = "Golden, {Blair P.} and Henschen, {Bruce Lowell} and Gard, {Lauren A.} and Elizabeth Ryan and Evans, {Daniel B} and Bierman, {Jennifer A} and Cameron, {Kenzie A}",
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Learning to be a doctor : Medical students’ perception of their roles in longitudinal outpatient clerkships. / Golden, Blair P.; Henschen, Bruce Lowell; Gard, Lauren A.; Ryan, Elizabeth; Evans, Daniel B; Bierman, Jennifer A; Cameron, Kenzie A.

In: Patient education and counseling, Vol. 101, No. 11, 01.11.2018, p. 2018-2024.

Research output: Contribution to journalArticle

TY - JOUR

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T2 - Medical students’ perception of their roles in longitudinal outpatient clerkships

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AU - Henschen, Bruce Lowell

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AU - Bierman, Jennifer A

AU - Cameron, Kenzie A

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